Organization Active NPI

Personal Choice Home Health Services,Inc

  • Home Health Agency
  • Fort Pierce, FL
National Provider Identifier
1164489902
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA216070961 Issued in FL
Legal business name
PERSONAL CHOICE HOME HEALTH SERVICES,INC
Practice address
2502 Quincy Ave Ste 101
Fort Pierce, FL 34947-4766
Phone
(772) 468-8686
Fax
(772) 468-5958
NPI assigned
Apr 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Vijay Gupta
Title
Owner
Phone
(954) 946-1920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA216070961 FL Primary

Addresses

Primary practice location

2502 Quincy Ave Ste 101
Fort Pierce, FL 34947-4766

Mailing address

41 N Federal Hwy
Pompano Beach, FL 33062-4304
Phone (954) 946-1920

Other identifiers 1

IdentifierTypeStateIssuer
HHA216070961OtherFLSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

41 N Federal Hwy
Pompano Beach, FL 33062
Phone (954) 946-1920

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1164489902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 N FEDERAL HWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624304",
            "telephone_number": "954-946-1920",
            "fax_number": "954-946-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 QUINCY AVE STE 101",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474766",
            "telephone_number": "772-468-8686",
            "fax_number": "772-468-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL CHOICE HOME HEALTH SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-946-1920",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA216070961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "HHA216070961",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.